Policy Transfer Form

First name:

Last name:

Email:

Address (please be sure to include your postal code) :

Phone Number

Contract Number

Hull SN:

Trailer serial #

Motor serial #

I hereby request that all rights and benefits available under the contract identified above be transferred to the new owner identified herein and I forfeit any and all rights that I may have had under such contract.

Type your name as a signature:

First name:

Last name:

Email:

Address (please be sure to include your postal code) :

Phone Number

Contract Number

Hull SN:

Trailer serial #

Motor serial #

Effective Date of transfer (date of possession)

I acknowledge that I have received, read, and understand the contract terms and conditions identified herein and hereby request that all rights and benefits available be transferred into my name for the remaining term as indicated on the contract.

Type your name as a signature: